Form 7000-1 - MSHA-2026

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The document is the Mine Accident, Injury and Illness Report (MSHA Form 7000-1), which is required by law for reporting accidents, injuries, or illnesses occurring in mining operations. It includes sections for identification data, details of reportable incidents, and return-to-duty information. The form must be completed and submitted to the Mine Safety and Health Administration (MSHA) within ten working days of an incident. It outlines specific instructions for documenting various types of accidents and injuries, as well as legal implications for non-compliance.

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Click ‘Get Form’ to open it in the editor.
Begin with Section A, where you will input the Identification Data. Fill in the MSHA ID number, report category (Metal/Nonmetal or Coal Mining), contractor ID, mine name, and company name.
Proceed to Section B for each reportable accident. Select the appropriate Accident Code and provide details such as the investigator's name and steps taken to prevent recurrence.
In Section C, describe the conditions of the accident/injury/illness. Include specific codes for location and method of mining, date and time of the incident, and details about equipment involved.
Complete Section D if applicable, providing return-to-duty information including dates and any changes in employment status due to the incident.
Review all sections for accuracy before saving your work. Utilize our platform’s features to sign and distribute your completed form easily.

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What is a MSHA 7000-1 form?

MSHA FORM 7000-1. Section 50.20 of Part 50, Title 30, Code of Federal Regulations, requires a report to be prepared and filed with MSHA of each acci- dent, occupational injury, or occupational illness occurring at your operation.

What is a first report of injury form?

The Employers First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process. Details of the claimants employment and circumstances surrounding the injury or illness are also requested.

What is the meaning of MSHA approval?

Federal regulations require mining products destined for use in underground coal gassy underground mines, be approved or certified to MSHA (Mine Safety and Health Administration) standards or non-MSHA Product Safety Standards; equivalent to the applicable product approval requirements having the same degree of

How many days do you have to file a 7000-1 accident and injury form with MSHA?

A Form 7000-1 shall be completed and mailed within ten working days after an accident or occupa- tional injury occurs, or an occupational illness is diagnosed.

What is MSHA 7000 2?

Form ID. 7000-2. Description. Mine operators are required to report employment and production information to MSHA using Form 7000-2 for each quarter of operation at the mine.